| Anterior anastomosis of the rectosigmoid colon: an experimental study. | |
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MedLine Citation:
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PMID: 785655 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Leakage in anastomoses below the peritoneal reflection after resection of the upper rectum and lower sigmoid colon has been studied in an experimental model in the dog. With blood alone or with blood and E. coli in the pelvis about the anastomosis, there was no significant increase in the frequency of leakage. With dead space about the anastomosis created by removal of pelvic fat and anterior tacking of the prostate and urinary bladder to the abdominal wall to simulate the human subject with a wide removal of intestine, mesentery, and pelvic fat for carcinoma, there was a high incidence of leakage. When the dead space about the anastomosis was filled with a pedicle graft of viable omentum, there was a significant decrease in the incidence of leakage. In this model dead space about the low anastomosis limiting contact with viable tissue that could adhere to, seal off, and finally revascularize the endangered intestine seemed to be a major cause of leakage. A pedicle graft of viable omentum that filled the dead space reduced the chance of leakage. |
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Authors:
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A D McLachlin; L S Olsson; D F Pitt |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Surgery Volume: 80 ISSN: 0039-6060 ISO Abbreviation: Surgery Publication Date: 1976 Sep |
Date Detail:
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Created Date: 1976-10-20 Completed Date: 1976-10-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0417347 Medline TA: Surgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 306-11 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Animals Colon, Sigmoid / surgery* Disease Models, Animal Dogs Escherichia coli Infections / complications Hemorrhage / complications Humans Male Omentum / blood supply, transplantation* Postoperative Complications / prevention & control* Rectum / surgery* Surgical Procedures, Operative / mortality, standards Wound Healing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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